摘要
柴胡桂枝干姜汤作为《伤寒论》中的经典方剂,经后世医家发展,现已不拘泥于伤寒病的使用,在临床中被广泛运用于内科、妇科等方面,且疗效颇佳。但柴胡桂枝干姜汤病机的争议由来已久,伤寒大家各有己见,对于初入临床或是经验较少的医者,难免会困惑于究竟患者出现什么症状,辩为什么病机时,才是选用柴胡桂枝干姜汤最合适的情况。曹红霞老师从事中医临床20余年,熟练运用经方于各种内、妇、儿科疾病的诊疗,对于柴胡桂枝干姜汤的使用颇多,其不拘泥于某个医家的理论,而是学习各家,再结合自身经验,每每疗效甚好。故整理二则经典医案及其临床诊疗思路与同道共同学习,并阐述对柴胡桂枝干姜汤病机的认识,希冀对于临床运用柴胡桂枝干姜汤有所裨益。
As a classic prescription in Treatise on Febrile Diseases,chaihu guizhi ganjiang decoction has been developed by later medical experts and is not confined to the use on typhoid fever.It has been widely used in the clinical practice of internal medicine,gynecology and other aspects,and has good curative effect.However,the controversy over the pathogenesis of chaihu guizhi ganjiang decoction has a long history,and doctors treating typhoid have their own views.For the new or less experienced doctors,it is inevitable to be confused about what symptoms the patient appears,and what the pathogenesis is to choose chaihu guizhi ganjiang decoction is the most appropriate situation.Professor CAO Hongxia has been engaged in the clinical practice of traditional Chinese medicine for more than 20 years,and has been skilled in the diagnosis and treatment of various internal,gynecological and pediatric diseases.She has used chaihu guizhi ganjiang decoction a lot.She does not stick to the theories of some doctors,but learns from others and combines her own experience,and the curative effect is often very good.Therefore,two classic medical cases and their clinical diagnosis and treatment ideas were sorted out in this article,and the understanding of pathogenesis of chaihu guizhi ganjiang decoction was expounded.It is expected to be beneficial to the clinical application of chaihu guizhi ganjiang decoction.
作者
黄文忠
曹红霞
HUANG Wenzhong;CAO Hongxia(Fujian University of Traditional Chinese Medicine, Fujian Fuzhou 350000, China;Xiamen Hospital of Traditional Chinese Medicine, Fujian Xiamen 361000, China)
出处
《中国医药导刊》
2020年第9期624-626,共3页
Chinese Journal of Medicinal Guide
关键词
柴胡桂枝干姜汤
医案
临床运用
Chaihu guizhi ganjiang decoction
Medical cases
Clinical application
